Organization Active NPI

Bonita Springs Chiropractic Corp

  • Chiropractor
  • Bonita Springs, FL
National Provider Identifier
1831509348
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11000 Issued in FL
Legal business name
BONITA SPRINGS CHIROPRACTIC CORP
Practice address
3440 Renaissance Blvd
Suite 1
Bonita Springs, FL 34134-7004
Phone
(513) 253-8362
NPI assigned
May 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Philip Carl Rafey, D.C.
Title
Owner
Phone
(513) 253-8362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11000 FL Primary

Addresses

Primary practice location

3440 Renaissance Blvd
Suite 1
Bonita Springs, FL 34134-7004

Mailing address

23540 Via Veneto Blvd
#505
Bonita Springs, FL 34134-4923
Phone (513) 253-8362

National Provider Directory

National Provider Directory

Locations

3440 Renaissance Blvd
Ste 1
Bonita Springs, FL 34134
Phone (513) 253-8362

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1831509348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23540 VIA VENETO BLVD",
            "address_2": "#505",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344923",
            "telephone_number": "513-253-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 RENAISSANCE BLVD",
            "address_2": "SUITE 1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347004",
            "telephone_number": "513-253-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA SPRINGS CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "RAFEY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-253-8362",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.